| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.29 | $34.13 | $44.16 | |
Cigna
| Professional | $13.26 | $15.40 | $16.67 | |
Health Partners
| Facility | $20.95 | $32.20 | $44.16 | |
Health Partners
| Professional | $13.13 | $13.13 | $14.96 | |
Medica
| Professional | $1,514.66 | $1,514.66 | $1,514.66 |